Sysdate_mmyyyy

Client ID/xzkgd vkbZMh %

Proposal Number/ifylh ekad% <<Proposal_Number>>
Policy Holder/ifylh /kkjd %
<<Address_Line_1>>
<<Address_Line_2>>
<<Address_Line_3>>
City Pincode
Mobile/ Landline/eksckby@ySaMykbu % <<Contact_Number>>
Email ID/bZesy vkbZMh %

Life Insured :

chfer O;f
Plan Name :

Iyku dk uke
Product UIN : <<Product UIN>>

mRikn ;wvkbZ,u

Subject/fo"k; : Freelook cancellation/ hyqd

dsalysku

Dear/fiz; TITLE PolicyHolderName,

This is with reference to the request received for cancellation of your policy within freelook period. Please be informed that
your policy has been cancelled and we are refunding your premium via Instrument_Type_Number for an amount of Rs.
Net_Payable on Refund_Date_mm/dd/yyyy.

;g hyqd vof/k esa vkidh ikWfylh dks j djus ds vuqjks/k ds lanHkZ esa gSA vkidks lwfpr fd;k tkrk gS fd vkidh ikWfylh j dj nh xbZ gS vkSj
ge vkidk # Net_Payable ds izhfe;e dk Hkqxrku fnukad
dks _Number ds ek/;e OVGMMJVJ6D$
Details are given below/ fooj.k uhps fn;k x;k gS %
Total Premium paid/ Hkqxrku fd;k x;k dqy hfe;e

Rs. Premium_Paid

Deduction towards Charges/Hkkjksa ds fy, dVkSrh

Rs. Total_Charges_Ddct_FlookCancel

Net Payable/dqy ns;

Rs. NetPayableAmount *

We thank you for your interest in DHFL Pramerica Life Insurance Company Limited.
For further assistance, please feel free to contact your Agent whose contact details are given below. You may also call us on
Toll Free 

 or email us at contactus@dhflpramerica.com.
vf/kd lgk;rk ds fy,] i;k uhps fn, x, vius chek lykgdkj ls laidZ djsaA vki gekjs xzkgd lsok gsYiykbu (VkWy h) 1800 102 7070 ij laidZ
dj ldrs gSa ;k contactus@dhflpramerica.com ij bZesy Hkh Hkst ldrs gSaA
Details of Your Advisor/ Broker/ Corporate Agent/vkids lykgdkj@czksdj@dkiksZjsV ,tsaV dk fooj.k :

* Banking the cheque shall be deemed acceptance by you of the amount refunded and will discharge the Company of any
future obligation.
* jkfk fjQaM gksus ij cSafdax /kuknsk dks vkids }kjk Lohr le>k tk,xk vkSj Hkfo"; esa daiuh fdlh Hkh nkf;Ro dk fuoZgu ugha djsxhA

This is a system generated letter hence does not require any signature/;g flLVe }kjk cuk;k x;k i= gSa] vr% bl ij gLrk{kj djus dh vko;drk ugha gSA

Contact Us /
Toll Free / Vksy h ua -

1800 102 7070

DPLI/Operation/POS/Communication Letter/004_06052015_Ver 0.1

Mh ,p ,Q ,y izesfjdk ykbQ+ ba;ksjsal daiuh fyfeVsM esa vkidh #fp ds fy, ge /kU;okn djrs gSaA

lEidZ djsa
Website / osclkbZV

E-mail ID / bZ&esy

SMS / ,l- ,e- ,l

S

www.dhflpramerica.com

contactus@dhflpramerica.com

L
LIFE to 5607070 or 9289207070

DHFL Pramerica Life Insurance Company Limited (erstwhile DLF Pramerica Life Insurance Co. Ltd.)
Registered Office & Communication Address: 4th Floor, Building No.9B, Cyber City, DLF City Phase III, Gurgaon 122002, Haryana.
CIN: U66000HR2007PLC052028, IRDAI Registration No. 140, Tel.: 0124-4697000, Fax: 0124-4697100/7200